Active NPI
B&B Eye Group LLC
- Optometrist
- Ledgewood, NJ
National Provider Identifier
1326271545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00376500
- Legal business name
- B&B EYE GROUP LLC
- Practice address
- 461 State Route 10
Ledgewood Mall
Ledgewood, NJ 07852-9510 - Phone
- (973) 927-1242
- Fax
- (973) 927-8055
- NPI assigned
- Sep 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Gene Kirczow, O.D.
- Title
- Optometrist
- Phone
- (973) 927-1242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00376500 | NJ | Primary |
Addresses
Primary practice location
461 State Route 10
Ledgewood Mall
Ledgewood, NJ 07852-9510
Mailing address
461 State Route 10
Ledgewood Mall
Ledgewood, NJ 07852-9510
Phone (973) 927-1242
National Provider Directory
National Provider DirectoryLocations
461 State Route 10
Ledgewood, NJ 07852
Phone (973) 252-2475
461 State Route 10
#58
Ledgewood, NJ 07852
235 Prospect Ave
#B
West Orange, NJ 07052
Phone (973) 736-8371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305072000000",
"number": "1326271545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 STATE ROUTE 10",
"address_2": "LEDGEWOOD MALL",
"city": "LEDGEWOOD",
"state": "NJ",
"postal_code": "078529510",
"telephone_number": "973-927-1242",
"fax_number": "973-927-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 STATE ROUTE 10",
"address_2": "LEDGEWOOD MALL",
"city": "LEDGEWOOD",
"state": "NJ",
"postal_code": "078529510",
"telephone_number": "973-927-1242",
"fax_number": "973-927-8055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B&B EYE GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-04",
"last_updated": "2011-05-11",
"status": "A",
"authorized_official_last_name": "KIRCZOW",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "GENE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "973-927-1242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00376500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ledgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.